Individual
MS. MARY SUSAN STOLIKER-DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
3525 LOMA VISTA RD STE C, VENTURA, CA 93003-3165
(805) 652-6955
(805) 652-6959
Mailing address
1203 FLYNN RD UNIT 160, CAMARILLO, CA 93012-6203
(805) 804-4168
(805) 830-1177
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT2135
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT2135
STATE LICENSE
CA
Enumeration date
10/24/2006
Last updated
02/12/2026
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